07-102258 •
1 • City ofFrede W y Electrical Permit #: 07-102258-00-Ela
" Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
FILEProject Name: FORTENBERRY
Project Address: 33050 44TH AVE S Parcel Number: 152104 9221
Project Description: 200-amp service for new single family residence ** 7/10/07 ADD low-voltage thermostat.**
,
Owner Applicant Contractor
BRETT FORTENBERRY BRETT FORTENBERRY MERIDIAN CENTER ELECTRIC INC
33050 44TH AVE S 33050 44TH AVE S MERIDCE318SG 2/28/07
FEDERAL WAY WA 98001 FEDERAL WAY WA 98001 11109 66Th AVE E
PUYALLUP WA 98373
Additional Permit Information
Electrical Fixtures
Service: -Residential 2,051 Thermostat 1
PERMIT EXPIRES Monday, October 22, 2007
Permit Issued on Wednesday, April 25,2007
I hereby certify that the above information is correct and that the construction on the above described pro rty and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington
> and ity of Federal Way.
Owner or agent: 70 ' t Date: 1 (10101
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City of Federal Way Electrical Permit #: 07-102258-0s-EL-
• Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: FORTENBERRY
Project Address: 33050 44TH AVE S Parcel Number: 152104 9221
Project Description: New 200A service
Owner Applicant Contractor
BRETT FORTENBERRY BRETT FORTENBERRY BRETT FORTENBERRY
33045 MILITARY RD S 33045 MILITARY RD S 33045 MILITARY RD S
FEDERAL WAY WA 98001 FEDERAL WAY WA 98001 FEDERAL WAY WA 98001
Additional Permit Information
Electrical Fixtures
Service: -Residential 1
PERMIT EXPIRES Monday, October 22, 2007
`Permit Issued on Wednesday, April 25, 2007
I hereby;certify that the above information incorrect and that the constructir on the above described property and
the occupancy and the use will be in accordance with the laws,rules and egulations oft State of Washington
IA, and the City of Federal Way.
Owner or agent: oQ Date: 7 7K'L W 1
THIS CARD IS TO REMAIN ON-SITE i ' .
0117(N.A.. Community Development Inspection Record,
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102258-00-EL
Owner: BRETT FORTENBERRY
Address: 33050 44TH AVE S
FEDERAL WAY, WA 98001
This card is part of your required inspection documents Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
O Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By c_u46,.._ Date q. _4_`n By Date
❑ Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By (ZADate /O •(a,c77
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date l 2./3-c7
❑ Under-slab groundwork(4295)
Approved
Brl-i:S Date 4.0,6,--U7
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date 101,1 -e::57
Federa RECEIVED , Q 1 p K A ,.58
v PERMIT
COMMUNITY DEVELOPMENTSERVI p SF MF CO ME EL PL DE EN FP
333258TM AVENUE SOUTH•PO B09i 2 5 200A pp L I C A?'I O N T°
FEDERAL WAY,WA 98063.9718
253-835-2607•FAX 253- 1
i www.ciluof(edemlwa . 6'9UF FEDERAL WAY /
UILDING ��pp77��
The following is required inform tzttbn-an incomplete application will not be accepted. Please print legibly(in ink)or, type.
S PROPERTY INFORMATION
SITE ADDRESS `3(.0 j� IA(-{rt'`''i 0A V -FC• C-aL 1' $UITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
_ (Attach separate pagefw lengthy legal description)
■ PROJECT INFORMATION
lTYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION vie ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
PROJECT NAME(Name of Business or Owner Last Name) .ff--
(ZT E r •
• PEOPLE INFORMATION
PROPERTYNA PRIMARY PHONE
OWNER /ZE 1 '1\;1 F CTt.III 3`�'(C. � (20`e) 255-Z
MAILING ADDRESSCITY,STATE,ZIP E-MAIL ADDRESS
3 :L-1 j I�11` +�e_1 i?(=4 S . Fedeict\ I,- ,t',T � l ;`Fo1 Zc14so - Cc, i 5
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( ) -
COPY of card rogafrod
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS with aticli application
APPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS ' CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE
- E-MAIL ADDRESS CONTACT (
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -.
a DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL
• SQ;FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL TOTAL EXISTING sr TOTAL PROPOSED Sr TOTAL Sr
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS, GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS iroiies
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim), which may be made by any person,including the undersigned,and flied against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent 0 Contractor 0 Architect 0 Other
o NEW o ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT. j
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES a NO
•
Bulletin#100—January 1,2007 Page 2 of 4 kV-Iandouts\Permit Application
ELECTRICAL PERMIT INFORMATION
•
RESIDENTIAL COMMERCIAL
1
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Single Family Square Feet c' i Service or Feeder Each Add'n
(First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50
(Inspected with service) $47.00 ❑ 201-400 amp 280.00 111.00
❑ Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00
(Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
O 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00
❑ 401 600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 262.00 140.50
❑ Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder
❑ over 1000 amp 471.00
❑ 0 to 200 amp $92.50
❑ 201 -600 amp 149.50 ❑ #of circuits to be added/altered
❑ over 600 amp _225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
❑ Service- 1;000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
U Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residentiai/Muiti-Family $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder.Ampacity
❑ 0- 100 amps $74.00
❑ 101-200 amps 94.50
❑ 201 -400 amps 111.00
❑ 401-600 amps 149.50
❑ over 600 amps ' 162.00
MISCELLANEOUS SERVICE/EQUIPSiMENT
❑ # of Thermostats ❑ #ofSigns
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $74.00 •
❑ Security Alarm System ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
1""2500 ft2-$65.00;
Each add'n 2500 0417.00) *Per WAC 29646910(5)/b)/i&ii)
•
Bulletin#100-January I,2007 . Page 3 of 4 k\Handouts\Permit Application